Organization Active NPI

Jim G. Taylor, O.D.P.C.

Doing business as paris vision clinic

  • Optometrist
  • Paris, TN
National Provider Identifier
1790953503
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TN1040 Issued in TN
Legal business name
JIM G. TAYLOR, O.D.P.C.
Doing business as
paris vision clinic
Practice address
60 Fairgrounds Rd
Paris, TN 38242-4417
Phone
(731) 642-4434
Fax
(731) 642-4402
NPI assigned
Feb 14, 2008
Last updated
Jul 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James C. Taylor, O.D.NPI 1447202031
Title
Doctor
Phone
(731) 642-4434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TN1040 TN Primary

Addresses

Primary practice location

60 Fairgrounds Rd
Paris, TN 38242-4417

Mailing address

60 Fairgrounds Rd
Paris, TN 38242-4417
Phone (731) 642-4434

Other names 1

  • paris vision clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090514000371 TN Part B Supplier - Clinic/Group Practice 5597814947 Receives reassigned benefits from 1 practitioner
Practice locations: Paris, TN
O20100930076680 TN DME Supplier - Physician - Optometrist 5597814947 Practice locations: Paris, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Jim G. Taylor, O.D.P.C.60 Fairgrounds Rd, Paris, TN 38242-5648(731) 642-0673 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since May 14, 2009

National Provider Directory

National Provider Directory

Locations

803 Donelson Pkwy
Dover, TN 37058
Phone (931) 232-5255

60 Fairgrounds Rd
Paris, TN 38242
Phone (731) 642-4434

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1790953503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FAIRGROUNDS RD",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424417",
            "telephone_number": "731-642-4434",
            "fax_number": "731-642-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FAIRGROUNDS RD",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424417",
            "telephone_number": "731-642-4434",
            "fax_number": "731-642-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM G. TAYLOR, O.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "731-642-4434",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TN1040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "paris vision clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paris, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.